WoundScribe AI
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Billing Audit

tutorial

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Walk through a diabetic foot ulcer encounter in WoundScribe — from intake verification to a signed, audit-ready chart with synced SOAP notes, billing codes, and compliance checks.

WoundScribe's intelligence sits on both ends of a wound encounter: it verifies your intake before the AI drafts a note, and reviews the finished chart for rationale, billing, codes, and gaps before you sign. Here's how a diabetic foot ulcer encounter on Dorothy Hale's right heel moves from intake to a signed, audit-ready chart.

Part one: verify intake before the AI runs

  1. Complete required fields. Open the wound and fill in Wound Name, Wound Type, and Wound Location — the fields marked with an orange asterisk. Miss one and the field turns red with a specific message.
  2. Give the AI something to analyze. Enter width and height, or visit notes, and the Continue to AI Analysis button unlocks.
  3. Run the agent chain. Summarizer, Assessment, and Planner draft the note in sequence. The Validator returns a verdict — here, Conditionally Approved, with three concrete issues to address before signing.

Part two: review, compliance, and sign-off

  1. Review the Encounter screen. The SOAP note sits on the left and billing and coding on the right, kept in sync. Confirm E/M level 99213, CPT 11042 for debridement with a modifier-25 flag, and ICD-10 codes L97.419 and E11.621.
  2. Run Ask Pingoo. The chart-auditor pass surfaces compliance, measurement, medication, and coding flags in plain language — a missing depth, modifier 25, or no offloading for a diabetic heel ulcer. Decision support offers next steps with CPT codes and approximate Medicare reimbursement.
  3. Sign. WoundScribe runs a final compliance check. Amber gaps, like a missing measurement for 99213, are flagged but allow signing. Red payer-specific issues — Medicare wanting modifier 25 — must be resolved, with a one-click fix and a citation to the CMS NCCI Policy Manual.
  4. Confirm and close. Approve the new diagnoses pulled from your SOAP Assessment, then sign. The encounter locks, but you can unlock deliberately for an addendum. Download the audit bundle — final notes, patient summary, revision trail, signatures, compliance results, and billing status — in one package.

The result: every signed note is audit-ready by design. For more on coding accuracy, see WISER claims and compliance and the coding agent deep dive.